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FAQs

Your Questions Answered

What is a FEES?

FEES is an acronym for Flexible Endoscopic Evaluation of Swallowing. It is a procedure in which a small endoscope is passed through the nose and into the throat to evaluate swallowing function with a high definition camera.

Why would I need a FEES?

 A consult for FEES may be warranted and should be considered if you or your loved one have dysphagia risk factors including, but not limited to: neurogenic (i.e., CVA, TBI, dementia), structural (i.e., head & neck cancer, cervical osteophytes), history of respiratory conditions (i.e., COPD, CHF) and potentially other infectious and/or traumatic history related to the structures of the throat. A FEES may also be beneficial if you or your loved one experience dysphagia-related sequelae (i.e., aspiration pneumonia, malnutrition or dehydration).

What is the difference between a FEES and MBSS?

While FEES and MBSS (Modified Barium Swallow Study) are instrumental assessments used to evaluate swallowing function, there are several key differences. While a FEES system is portable and can be completed anywhere, MBSS is a live video x-ray that is completed in a radiology suite. FEES can allow for a lengthier assessment of swallowing function whereas MBSS is more time-sensitive given the exposure to radiation. During a FEES, the clinician can view throat structures from a superior view, while an MBSS is completed in an anterior (side) and anterior-posterior (front-back) view. A FEES would be preferred if you or your loved one experience any changes in vocal quality (dysphonia), in addition to signs/symptoms of dysphagia, to directly visualize the larynx and its function as it relates to swallow safety. This information will also be helpful in your endoscopist making additional recommendations for potential follow-up appointments with the appropriate medical professional (i.e., an ENT).

Are there contraindications to FEES?

Yes. FEES is contraindicated if you or your loved one has acute nasal/facial fractures, bilateral nasal obstruction, history of vasovagal episodes and inability to tolerate passing of the scope without agitation or hypersensitivity.

Do you use topical anesthetic?

No. We do not use lidocaine. However, we do use lubricating jelly for increased comfort.

When will I get my results?

You will receive results/recommendations immediately following the procedure. Your endoscopist will write an evaluation report as soon as the study is complete and provide a copy to your facility. If you wish to obtain a copy of your report, you must request a copy from your facility’s medical record department.

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